Advanced Nurse Practitioner - Surgical Care

U.S. Department of Veterans Affairs; Milwaukee (WI); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Paid time off

Federal pension

401K up to 5% VA contributions

Health/vision/dental insurance

Job summary

The U.S. Department of Veterans Affairs at the Clement J.

Zablocki VA Medical Center in Milwaukee seeks an Advanced Practice Nurse (APN II) Certified Nurse Practitioner to lead pre-operative evaluations in the Pre-Operative / Pre-Procedure Clinic. The NP will provide advanced clinical practice, consultation, and care management for Veterans undergoing surgery, ensuring quality and timeliness in alignment with VA mission.

Responsibilities

• Assess Veterans pre-operatively, including planned procedure, co-morbidities, and risk stratification.
• Perform pre-operative history and physicals per templated EHR notes to capture risk factors.
• Review EHR notes, labs, imaging, and tests to inform risk assessment for surgical patients.
• Communicate recommendations to referring teams and surgeons.
• Collaborate with interdisciplinary teams to develop pre-operative assessments and plans of care.

Job description

Summary

This position is located at the Clement J. Zablocki VA Medical Center - Milwaukee Wisconsin - in the Surgical Care Division. The Advanced Practice Nurse (APN) II Certified Nurse Practitioner (NP) practices in the Pre-Operative / Pre-Procedure Clinic to provide a full range of services emphasizing quality - timeliness - and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice - consultation - and management.

Duties

• Major duties and responsibilities of the position: Assess the Veterans - their planned operative procedure - co-morbidities - and help risk stratify the patient so that pre-operative evaluation can occur by the most appropriate clinic
• Perform the pre-operative history & physical exam following the templated note in the electronic health record (EHR) to ensure all Veteran risk factors are captured for the most accurate risk assessment
• Review all pertinent EHR notes - lab tests - X-Ray exams - cardiac tests - pulmonary function tests - and other pertinent information for the patient in developing the assessment of the Veteran undergoing a surgical procedure
• Communicate with referring sections and/or surgeons performing the surgical procedure with any patient concerns or recommendations
• Based on Veteran history & physical - review of EHR notes and results of tests and planned procedure(s) - make recommendations to proceed with planned operation or to order additional testing prior to surgery
• communicate recommendations to the referring team
• Collaborate with COTC RN staff - anesthesia provider(s) - Primary Care provider - consult teams (Cardiology - Pulmonology - etc.) - and referring providers as needed to develop a pre-operative assessment of the patient
• Facilitate - coordinate - and monitor the patient's progress through the pre-operative clinic - including recommended additional testing to ensure timely preparation for the surgical procedure
• Initiate referrals and consults to specialty services
• Assist in the development of clinical protocols - policies - procedures and plans of care reflecting specific needs of the pre-operative patient
• Utilize evidence-based practice in the pre-operative clinic
• Provide education to the patient and family on the pre-operative process - patient morbidities - patient lifestyle concerns - etc. - as needed
• Assesse and adjust the plan of care as needed to achieve optimal patient outcomes
• Identify deviations from established protocols - care standards - and clinical pathways
• investigate and actively intervene to correct variances as appropriate
• Support the interdisciplinary team caring for the patients by updating knowledge and skills through literature reviews - discussions and presentations
• Function as a role model for the nursing staff and actively participates in the care of the pre-operative Veteran
• Assist in the orientation of new staff to the pre-operative clinic
• Maintain competence through attendance at job-related educational opportunities
• Demonstrate leadership and works collaboratively with the interdisciplinary team
• Prescribe pharmacologic and non-pharmacologic interventions - as appropriate
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday to Friday from 8:00 am to 4:30 pm Telework: Not Available Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized